论文部分内容阅读
目的:保护有效洗胃,减少毒物吸收,提高急性有机磷农药中毒抢救成功率,减低死亡率。方法:用1:5000高锰酸钾液(PP),在洗胃后经胃管注入自配解胃磷液一剂,活性炭100g,加20%甘露醇250ML加氯解磷定5g加阿托品5mg),氯解磷定和阿托品根据中毒程度及服入毒物的多少调整剂量,达到有效导泻(2小时内必须解大便,12h内水样便5-6次)。结果:临床使用“解胃磷”合剂救治有机磷农药中毒患者洗胃导泻有效,与同期救治患者相比留观时间缩短,平均留观费用下降,无药物不良反应。结论:“解胃磷”灌注治疗抢救成功率提高明显,无不良反应,住院时间缩短,患者的救治费用降低。而且操作简单,容易掌握,药物价格低廉,值得临床推广应用。
Objective: To protect the effective gastric lavage, reduce the absorption of poison, improve the success rate of acute organophosphorus pesticide poisoning rescue, reduce mortality. Methods: 1: 5000 potassium permanganate solution (PP) was injected into the stomach after gastric lavage with gastric lavage, one part of gastric juice with gastric juice, activated carbon 100g, plus 20% mannitol 250ml plus chlorpheniramine 5g plus atropine 5mg ), Chlorpromazine and atropine according to the degree of poisoning and intoxicated dose to achieve effective cathartic (2 hours must be stool solution, water samples within 12h will be 5-6 times). Results: Clinical use of “Jiewei phosphorus” mixture of organophosphate pesticide poisoning in patients with gastric lavage and catharsis effective, compared with the same period of treatment patients with reduced viewing time, the average viewing cost decreased, no adverse drug reactions. Conclusion: The success rate of salvage therapy improved significantly with no adverse reactions, shorter hospital stay and lower cost of treatment. And simple, easy to grasp, low drug prices, it is worth to promote clinical application.